Individual provider · Type 1 NPI
Cecilia Mae Skidmore, M.A., L.P.C.
Mental Health Counselor · Grand Rapids, MI
NPI number
1760533632
Active
Practice location
2288 Dean Lake Ave NE
Grand Rapids, MI 49505-4445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401001787 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1760533632
Cecilia Mae Skidmore, M.A., L.P.C.'s National Provider Identifier is 1760533632, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 18, 2026.